Informed Consent in Psychedelic-Assisted Therapy
- PMID: 39739178
- DOI: 10.1007/7854_2024_559
Informed Consent in Psychedelic-Assisted Therapy
Abstract
Humans have long used classical serotonergic psychedelics, such as psilocybin, for a variety of purposes. Entactogens, such as methylenedioxymethamphetamine (MDMA), emerged during the twentieth century and have likewise seen use in a broad range of settings. Interest has arisen in the use of classical psychedelics and entactogens, together termed "psychedelics," for therapeutic purposes in Western clinical settings. Care in these settings is governed by standards for the communication and assumption of risk in the process of informed consent. Rigorous informed consent standards in psychedelic medicine are not only essential for quality care but also critical to the mitigation of risk, particularly in research settings and for vulnerable individuals. This chapter describes practical elements of informed consent in psychedelic therapy, with a focus on effective communication of the risks and potential benefits of classical psychedelic and entactogen treatments as they are currently understood.
Keywords: Informed consent; MDMA; Psilocybin; Psychedelic; Risk–benefit.
© 2024. The Author(s), under exclusive license to Springer Nature Switzerland AG.
References
-
- Aaronson ST, Van Der Vaart A, Miller T, LaPratt J, Swartz K, Shoultz A, Lauterbach M, Sackeim HA, Suppes T (2023) Single-dose synthetic psilocybin with psychotherapy for treatment-resistant bipolar type II major depressive episodes: a nonrandomized controlled trial. JAMA Psychiatry 81:555–562. https://doi.org/10.1001/jamapsychiatry.2023.4685 - DOI
-
- American Psychedelic Practitioners Association (2023) Professional practice guidelines for psychedelic-assisted therapy. https://www.appa-us.org/standards-and-guidelines/professionalpracticegui...
-
- Anastasopoulos G, Photiades H (1962) Effects of LSD-25 on relatives of schizophrenic patients. J Ment Sci 108:95–98. https://doi.org/10.1192/bjp.108.452.95 - DOI
-
- Appelbaum PS (2007) Assessment of patients’ competence to consent to treatment. N Engl J Med 357:1834–1840
-
- Barber G, Nemeroff CB, Siegel S (2022) A case of prolonged mania, psychosis, and severe depression after psilocybin use: implications of increased psychedelic drug availability. Am J Psychiatry 179:892–896. https://doi.org/10.1176/appi.ajp.22010073 - DOI
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